Individual provider · Type 1 NPI

Miesha McCormick, HAIR LOSS SPECIALIST

Prosthetics Case Management · Bay Shore, NY

NPI number 1912413774 Active

Practice location

876 Sunrise Hwy Ste 16
Bay Shore, NY 11706-5908

Mailing address

138 W 16th St
Deer Park, NY 11729-4907

Specialties and licenses

TaxonomyCodeLicense
Prosthetics Case Management Primary 1744P3200XNone listed

Prosthetics Case Management: A case manager who provides services for patients with prosthetics.

About NPI 1912413774

Miesha McCormick, HAIR LOSS SPECIALIST's National Provider Identifier is 1912413774, issued on Dec 15, 2017. The primary taxonomy on file is Prosthetics Case Management (1744P3200X), and the practice location is in Bay Shore, NY. The record was last updated on Dec 15, 2017.